Penola M Garvin Leslie (NPI# 1831140359, PAC ID# 0749214856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831140359 |
| PAC ID by PECOS | 0749214856 |
| Professional Enrollment ID | I20050919000734 |
| Full Name | Penola M Garvin Leslie |
| Organization Legal Name | SOUTHGATE URGENT CARE PC |
| Address |
14523 Northline Rd Southgate Urgent Care Southgate MI 48195-2446 |
| Phone Number | 7343247800 |
| Gender | F |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0143237172 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| Address | Phone | Organization |
|---|---|---|
| 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 | 7343247800 | SOUTHGATE URGENT CARE PC |
| Organization Legal Name | SOUTHGATE URGENT CARE PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay S Saini | Family Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Ali M Khan | Family Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Azza Ali | Internal Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Farah Iftikhar | Family Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Richard Bay Overbeck | Emergency Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Katilyn C Kohl | Physician Assistant | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Ayaz Ahamed | Physician Assistant | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Leila Akhavan Shahr Ashoub | Physician Assistant | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Harry Gee | Preventative Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Imran M Uddin | Family Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Street Address |
14523 NORTHLINE RD SOUTHGATE URGENT CARE |
| City | SOUTHGATE |
| State | MI |
| Zip | 48195-2446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay S Saini | Family Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Ali M Khan | Family Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Azza Ali | Internal Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Farah Iftikhar | Family Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Richard Bay Overbeck | Emergency Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Katilyn C Kohl | Physician Assistant | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Ayaz Ahamed | Physician Assistant | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Leila Akhavan Shahr Ashoub | Physician Assistant | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Harry Gee | Preventative Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Imran M Uddin | Family Medicine | Southgate Urgent Care PC | 14523 Northline Rd, Southgate Urgent Care, Southgate, MI 48195-2446 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Baghdoian | Orthopedic Surgery | 13479 Northline Rd, Southgate, MI 48195-1064 | |
| Kate Schmoekel | Physical Therapy | Orthopedic Associates, P.C. | 13479 Northline Rd, Southgate, MI 48195-1064 |
| Ramalingeswara Yalamanchi | Internal Medicine | 13300 Northline Rd, Southgate, MI 48195-1065 | |
| Rajasingh Johnson | Physical Therapy | 13245 Northline Rd, Southgate, MI 48195-1070 | |
| Howard B Shore | Chiropractic | 13560 Northline Rd, Southgate, MI 48195-1080 | |
| Lisa A Marlow | Qualified Audiologist | Sheila M Ray Md PC | 13136 Fort St, Southgate, MI 48195-1102 |
| Sheila M Ray | Otolaryngology | Sheila M Ray Md PC | 13136 Fort St, Southgate, MI 48195-1102 |
| Ali Saad | Allergy/immunology | 12811 Northline Rd, Southgate, MI 48195-1109 | |
| Aaron L Scheinker | Optometry | 13350 Fort St, Southgate, MI 48195-1137 | |
| Amal M Abdul Hussein | Family Medicine | Southgate Medical Center Pllc | 13460 Fort St, Southgate, MI 48195-1138 |
| Find all physicians in zip 48195 | |||
| City | SOUTHGATE |
| Zip Code | 48195 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SOUTHGATE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Penola M Garvin Leslie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.